Significant Accounting Policies (Details Textual) (USD $) In Millions, unless otherwise specified	3 Months Ended			9 Months Ended			0 Months Ended		3 Months Ended	0 Months Ended	3 Months Ended	9 Months Ended
	Sep. 30, 2014 bed	Mar. 31, 2014 bed	Sep. 30, 2013	Sep. 30, 2014 facility segment bed	Sep. 30, 2013	Dec. 31, 2013	Jun. 12, 2014 GEORGIA facility agreement	Jun. 12, 2014 GEORGIA agreement	Mar. 31, 2014 OKLAHOMA bed	Sep. 22, 2014 ALABAMA facility subsidiary	Dec. 31, 2013 ALABAMA bed unit	Sep. 30, 2014 Tybee Island Skilled Nursing Facilities facility
Concentration Risk [Line Items]
Number of facilities				37			2
Number of skilled nursing facilities				34						2
Number of assisted living facilities				2
Number of independent living and senior housing facilities				1
Number of units in facilities				4,200
Number of facilities owned and operated				25
Number of facilities leased and operated				8
Number of facilities managed				4
Number of Sub-lease Agreement								2
Number of units under agreement to sale VIE											105
Number of units under agreement to sale		102							102		105
Number of beds sub-leased	52
Number of discontinued operations												5
Number of reportable segments				1
Concentration risk, percentage	83.50%		82.80%	83.90%	84.10%
Patient care receivables, estimated allowance for uncollectible accounts	$ 6.2			$ 6.2		$ 5.0
Number of Subsidiaries										2